covered employer training program module seven death claims process

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Covered Employer Training Program Module Seven Death Claims Process

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Page 1: Covered Employer Training Program Module Seven Death Claims Process

Covered EmployerTraining Program

Module SevenDeath Claims Process

Page 2: Covered Employer Training Program Module Seven Death Claims Process

Who notifies the Retirement Systems of a death?

Employers Family and friends of the deceased Obituaries Social Security Administration (SSA) Department of Health and Environmental Control

(DHEC) Funeral homes

Follow along in your Covered Employer Procedures Manual! Page 91

Page 3: Covered Employer Training Program Module Seven Death Claims Process

Types of Death Claims

Active – member dies while still on payroll and making active member contributions.

Inactive – member dies more than 90 days after the last day of earned compensation.

Retiree Working retired member

Page 91

Page 4: Covered Employer Training Program Module Seven Death Claims Process

Incidental Death Benefit

Coverage is required for all state agencies and public schools.

Coverage is optional for other employers. Active member incidental death benefit = one year’s

earnable compensation.* Retired member incidental death benefit = $2,000, $4,000,

or $6,000 based on years of service.

*This benefit also applies to retired members working for a covered employer.

Page 93

Page 5: Covered Employer Training Program Module Seven Death Claims Process

Active Member Incidental Death Benefit If a South Carolina Retirement System (SCRS) member

was under age 60 or if a Police Officers Retirement System (PORS) member was under age 55 and had less than one year of service credit: Active member incidental death benefit if the death was

job-related; and Refund of employee contributions plus interest.

If a member was under age 60 (SCRS) or under age 55 (PORS) with 1-14 years of service credit: Active member incidental death benefit; and Refund of employee contributions plus interest.

Page 93

Page 6: Covered Employer Training Program Module Seven Death Claims Process

Active Member Incidental Death Benefit If a member had 15 or more years of service credit, five years

of which must be earned service: Active member incidental death benefit; and Beneficiary’s choice of monthly benefit or refund of

employee contributions plus interest.

If member was over age 60 (SCRS) or age 55 (PORS) with at least five years of earned service: Active member incidental death benefit; and Beneficiary's choice of monthly benefit or refund of

employee contributions plus interest.

Page 93

Page 7: Covered Employer Training Program Module Seven Death Claims Process

Multiple Beneficiaries

If there are multiple beneficiaries, all beneficiaries must choose the same payment option to receive either a lifetime monthly benefit or a refund.

Page 95

Page 8: Covered Employer Training Program Module Seven Death Claims Process

Accidental Death Program (ADP)-PORS only ADP benefit is paid if death occurs while a member is

performing a hazard specific to employment while in the actual line of duty without willful negligence on the member’s part.

Monthly benefit: 50 percent of the annual earnable compensation (including overtime) 12.

Benefits first payable the day after the death of the member.

Paid in addition to the other in-service death benefits.

Page 96

Page 9: Covered Employer Training Program Module Seven Death Claims Process

Who receives the ADP benefit?

If the member was married, the spouse will receive a lifetime monthly benefit.

If there is no spouse or if the spouse dies before the youngest child reaches age 18, the benefit is divided equally among the surviving children until each child reaches age 18 or upon death, whichever occurs first.

If there is no spouse or child under age 18, benefit is paid to the surviving mother and/or father for life.

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Page 10: Covered Employer Training Program Module Seven Death Claims Process

Inactive Member Death

Beneficiaries receive a refund of the member’s contributions plus interest or a monthly benefit.

No incidental death benefit.

Page 92

Page 11: Covered Employer Training Program Module Seven Death Claims Process

Retired Member Deaths

Retired member incidental death benefit. Additional benefit depending on payment selection (if

applicable): Option A – Refund of any remaining contributions. Option B – Beneficiary begins to receive the same lifetime

monthly benefit amount retiree received prior to death. Option C – Beneficiary begins to receive half of the monthly

benefit amount retiree received prior to death.

Page 92

Page 12: Covered Employer Training Program Module Seven Death Claims Process

Working Retired Member Deaths

Active member incidental death benefit.

Additional death benefit depending on payment selection chosen at retirement: Option A Option B Option C

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Page 13: Covered Employer Training Program Module Seven Death Claims Process

Information Required for Active Member Deaths The Retirement Systems will mail the following forms to the

employer: Certification of Salary for a Deceased Member (Form 4152) Certification of Final Retirement Deductions (Form 6202)

The Retirement Systems will mail the following items to the beneficiary: Sympathy letter Request for certified copy of death certificate Request for copy of beneficiary’s Social Security card and driver’s

license or state-issued identification (ID) card

Page 91

Page 14: Covered Employer Training Program Module Seven Death Claims Process

Information required for Retired Member Deaths No information required from the employer unless the

account has not yet been finalized. If account has not yet been finalized, the death claim

cannot be processed until the Certification of Final Retirement Deductions (Form 6202) is received.

If the deceased was a working retiree, the employer will be sent a Certification of Salary for a Deceased Member (Form 4152) and a Certification of Final Retirement Deductions for a Deceased Retired Member (Form 4250).

Forms in appendix, not on website.

Page 15: Covered Employer Training Program Module Seven Death Claims Process

Information required for Retired Member Deaths The following is mailed to the beneficiary:

Claim and Proof of Death (Form 4153) Letter requesting copy of beneficiary’s Social Security card

and driver’s license or state-issued ID card.

Page 16: Covered Employer Training Program Module Seven Death Claims Process

Payments to an Estate

How does an estate become the beneficiary? Member names his estate as beneficiary; or Estate becomes beneficiary by default if the named

beneficiaries predecease the member.

Note: A monthly benefit cannot be paid to an estate; however, an estate can receive a refund of the member's remaining contributions plus interest, if any.

Page 98

Page 17: Covered Employer Training Program Module Seven Death Claims Process

Additional Documentation Required if Estate is Beneficiary “Certificate of Appointment” naming the personal

representative for estates of more than $10,000; or

“Affidavit for Collection of Personal Property” for estates of less than $10,000.

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Page 18: Covered Employer Training Program Module Seven Death Claims Process

Summary Quiz

On the Certification of Salary for a Deceased Member (Form 4152), does the last day earned compensation and date of termination have to be the same date?

On this same form, does the date of final paycheck and date of termination have to be the same date?

Page 19: Covered Employer Training Program Module Seven Death Claims Process

THE LANGUAGE USED IN THIS PRESENTATION DOES NOT CREATE ANY CONTRACTUAL RIGHTS OR ENTITLEMENTS AND DOES NOT CREATE A CONTRACT BETWEEN THE MEMBER AND THE SOUTH CAROLINA RETIREMENT SYSTEMS. THE SOUTH CAROLINA RETIREMENT SYSTEMS RESERVES THE RIGHT TO REVISE THE CONTENT OF THIS PRESENTATION.

This presentation is meant to serve as a guide but does not constitute a binding representation of the South Carolina Retirement Systems. The statutes governing the South Carolina Retirement Systems are found in Title 9 of the South Carolina Code of Laws, and should there be any conflict between this presentation and the statutes or Retirement Systems’ policies, the statutes and policies will prevail.

Employers covered by the South Carolina Retirement Systems are not agents of the Retirement Systems.

Disclaimer

Page 20: Covered Employer Training Program Module Seven Death Claims Process

Questions